11/5/12

Welcome to IBPS - Application Form Print

Candidate's Copy

INSTITUTE OF BANKING PERSONNEL SELECTION IBPS (CWE-Clerk-II – 2012 – 1885) CHALLAN FORM (Please tick the name of the Bank in which fee/intimation charges are proposed to be deposited) Bank of Baroda Bank of India Bank of Maharashtra Central Bank of India Indian Overseas Bank Punjab National Bank United Bank of India Candidate Details Registration No. Category Date of Registration (To be filled by the Bank) Branch Code : Transaction No. : Date of Deposit : .............. / ............... / 2012 Amount of Application Fees / Intimation Charges : Bank Transaction Charges : (Bank Transaction charges if any are to be borne by the candidate) Branch Seal & Signature of Authorised Signatory Fee Payment will be accepted only in any of the above seven banks from (within the Box only) the 2nd working day after Online Registration (For example : If one has registered on 20.10.2012, then he/she will be able to deposit the fee between 23.10.2012 to 27.10.2012, considering 21.10.2012 is a non-working day) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------Bank Copy

Name : SATHISH KUMAR Date of Birth : 14-01-1989 Mobile No. : 8124222462 Amount of Application Fees / Intimation Charges : 400.00

: 1111822039 : OBC : 05-11-2012

INSTITUTE OF BANKING PERSONNEL SELECTION IBPS (CWE-Clerk-II – 2012 – 1885) CHALLAN FORM (Please tick the name of the Bank in which fee/intimation charges are proposed to be deposited) Bank of Baroda Bank of India Bank of Maharashtra Central Bank of India Indian Overseas Bank Punjab National Bank United Bank of India Candidate Details Name : SATHISH KUMAR Registration No. : 1111822039 Date of Birth : 14-01-1989 Category : OBC Mobile No. : 8124222462 Date of Registration : 05-11-2012 Amount of Application Fees / Intimation Charges : 400.00 (To be filled by the Bank) Branch Code : Transaction No. : Date of Deposit : .............. / ............... / 2012 Amount of Application Fees / Intimation Charges : Bank Transaction Charges : (Bank Transaction charges if any are to be borne by the candidate)

Signature of the Candidate

Branch Seal & Signature of the Authorised Signatory (within the Box only)

ibpsreg.sifyitest.com/cweclkoct12/challan1.php?regno=MTExMTgyMjAzOQ==&prnsrc=prn

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11/5/12

Welcome to IBPS - Application Form Print

ibpsreg.sifyitest.com/cweclkoct12/challan1.php?regno=MTExMTgyMjAzOQ==&prnsrc=prn

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